Individual
DEBORAH E PANTANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502
(757) 466-0165
(757) 466-7296
Mailing address
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502
(757) 466-0165
(757) 466-7296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024000070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003814
—
NC
01
—
79228N
OPTIMA
VA
Enumeration date
12/12/2006
Last updated
07/08/2007
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